Organization Active NPI

Preble County Council on Aging, Inc.

  • Home Delivered Meals
  • Eaton, OH
National Provider Identifier
1417683582
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
PREBLE COUNTY COUNCIL ON AGING, INC.
Practice address
800 E Saint Clair St
Eaton, OH 45320-2433
Phone
(937) 456-4947
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelley Ratliff
Title
Executive Director
Phone
(937) 456-4947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

800 E Saint Clair St
Eaton, OH 45320-2433

Mailing address

800 E Saint Clair St
Eaton, OH 45320-2433
Phone (937) 456-4947

Other identifiers 1

IdentifierTypeStateIssuer
0245461MedicaidOH

Other names 1

  • Preble County Council on Aging, Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sratliff@prebleseniorcenter.org Direct

National Provider Directory

National Provider Directory

Locations

800 E Saint Clair St
Eaton, OH 45320
Phone (937) 456-4947

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1417683582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E SAINT CLAIR ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453202433",
            "telephone_number": "937-456-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E SAINT CLAIR ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453202433",
            "telephone_number": "937-456-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREBLE COUNTY COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-456-4947"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245461",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sratliff@prebleseniorcenter.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 East Saint Clair Street",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Preble County Council on Aging, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.